DR. JOHANNA LYNN MCCULLAGH (NPI# 1164569661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164569661 |
Entity Type | Individual |
Full Name | DR. JOHANNA LYNN MCCULLAGH |
Credential | MD |
Practice Address |
4320 Wornall Rd Suite 208 Kansas City MO 64111-5941 |
Practice Telephone | 8165310552 |
Practice Fax Number | 8167562503 |
Mailing Telephone | 8165310552 |
Mailing Fax Number | 8167562503 |
Enumeration Date | 2007-01-31 |
Last Update Date | 2016-03-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | 0431432 | KS | Allopathic & Osteopathic Physicians |
Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
04-31432 | KS | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KS | KSLICENSE | 04-31432 | 01 |
Street Address |
4320 WORNALL RD SUITE 208 |
City | KANSAS CITY |
State | MO |
Zip Code | 64111-5941 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477556215 | Paul W Jenkins Jr. | Physician Assistant | 4320 Wornall Rd, Ste 50-ii, Kansas City, MO 64111-5941 | 2005-05-24 |
1487187316 | Suzanne D Cummings | Nurse Practitioner | 4320 Wornall Rd, Suite 208, Kansas City, MO 64111-5941 | 2017-04-07 |
1992256069 | Jackie Wallman | Occupational Therapist | 4320 Wornall Rd, Suite 600, Kansas City, MO 64111-5941 | 2016-10-24 |
1053868877 | Chelsea J. Light | Physician Assistant | 4320 Wornall Rd, Suite 50, Kansas City, MO 64111-5941 | 2016-09-09 |
1730532250 | Brittany Lynn Walker | Registered Nurse | 4320 Wornall Rd, Suite 240, Kansas City, MO 64111-5941 | 2016-07-20 |
1184084535 | Justine Uryasz | Nurse Practitioner | 4320 Wornall Rd, Suite 50, Kansas City, MO 64111-5941 | 2016-02-28 |
1104290600 | Christina L Cooper | Registered Nurse | 4320 Wornall Rd, Suite 710, Kansas City, MO 64111-5941 | 2015-11-20 |
1295105914 | Rebecca Miller | Physician Assistant | 4320 Wornall Rd, Suite 304, Kansas City, MO 64111-5941 | 2015-10-07 |
1891179602 | Lauren Ann Ori | Physician Assistant | 4320 Wornall Rd, Suite 50, Kansas City, MO 64111-5941 | 2015-07-13 |
1053794263 | Emily Johnston | Nurse Practitioner | 4320 Wornall Rd, Suite 208, Kansas City, MO 64111-5941 | 2015-07-07 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184242810 | Kristen Casey | Psychologist | 4050 Pennsylvania Ave Ste 115, Pmb 2746, Kansas City, MO 64111 | 2020-07-09 |
1336765015 | Tyler Hoelting | Chiropractor | 3611 Main Street, Kansas City, MO 64111 | 2020-06-18 |
1003452764 | Sarah Anne Heavey | Nurse Practitioner | 4300 Wornall Road, Ste 2000, Kansas City, MO 64111 | 2019-11-18 |
1558844241 | Guardian Angels, LLC | Home Health | 4049 Pennsylvania Ave, Kansas City, MO 64111 | 2018-09-10 |
1730669169 | Hannah Eagleburger | Physician Assistant | 4321 Wornall Rd, Ste 530, Kansas City, MO 64111 | 2018-08-15 |
1316460835 | Kandace Callwell | Counselor | 4106 Baltimore Ave, Kansas City, MO 64111 | 2017-07-18 |
1780046250 | Sara Koenemann | Nurse Practitioner | 4400 Broadway St., Ste. 520, Kansas City, MO 64111 | 2016-03-24 |
1932586245 | Suzzette Griffith | Acupuncturist | 406 W 34th Street Ste 812, Kansas City, MO 64111 | 2015-05-06 |
1972999225 | Timothy O Olatunde | Emergency Medicine | 4410 Wornall Road, Kansas City, MO 64111 | 2015-04-14 |
1730595026 | Morgan Nelson | Audiologist | 4230 Wornall Road, Suite 420, Kansas City, MO 64111 | 2014-07-07 |
Find all providers in zip 64111 |
Taxonomy Code | 207RN0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Nephrology |
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558510172 | Munis Azim Mattu | Internal Medicine | Kumc Division of Nephrology, 3901 Rainbow Blvd, Ms 3018, Kansas City, KS 66160-0001 | 2008-09-18 |
1871716613 | Ahmed Ibrahim Al-absi | Internal Medicine | 6530 Troost Ave Ste A, Kansas City, MO 64131-1301 | 2007-04-10 |
1164528626 | Kansas City Kidney Consultants, Pa | Internal Medicine | 4320 Wornall Rd Ste 208, Kansas City, MO 64111-5964 | 2006-09-15 |
1356375406 | Woojin James Chon | Internal Medicine | 4320 Wornall Rd Ste 240, Kansas City, MO 64111-5955 | 2006-07-11 |
1003871443 | Jim I Mertz | Internal Medicine | 4320 Wornall Rd., Ste 208, Kansas City, MO 64111-3255 | 2006-04-19 |
1013984731 | Gerald M Reid | Internal Medicine | 6530 Troost, Ste A, Kansas City, MO 64131 | 2006-03-01 |
1710952700 | Kidney Associates of Kansas City PC | Internal Medicine | 6530 Troust Ave, Suite A, Kansas City, MO 64131 | 2006-02-22 |
1942299268 | Midwest Nephrology Consultants Pa | Internal Medicine | 2340 E Meyer Blvd Ste 480, Kansas City, MO 64132-1116 | 2005-10-19 |
1841643210 | Mohammed Zuhair Mohialdeen | Internal Medicine | 6530 Troost Ave Ste A, Kansas City, MO 64131-1301 | 2016-07-20 |
1144691429 | Kidney Care Center Kansas City | Internal Medicine | 2316 E Meyer Blvd, Kansas City, MO 64132-1136 | 2015-10-13 |
Find all providers in KANSAS CITY |
City | KANSAS CITY |
Zip Code | 64111 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.